| NPI | 1699366682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO LOPEZ FLORES President 786-862-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-08-28 |